Normal Vaginal Delivery in a Woman with COVID-19

Background: The results of studies on the outcomes and course of coronavirus disease-2019 (COVID-19) in pregnant women are inconsistent. Proper characterization of the disease process can help healthcare providers in the accurate management and control of the disease in vulnerable individuals, particularly pregnant women. We herein report a case of a multiparous pregnant woman with COVID-19. Case description: A 30-year-old pregnant woman (gravida 3 para 2) with gestational age of 39 weeks and six days and a history of occasional fever and chills in the past week was admitted to the midwifery triage with complaints of myalgia as well as severe pubic symphysis and back pain. The patient had the following vital signs at admission: fetal heart rate: 140 beats/min, oxygen saturation: 96%, temperature: 37 oC, respiratory rate: 17 breaths/min, pulse rate: 126 beats/min and blood pressure: 100/70 mmHg. The mother was positive for COVID-19 in both PCR and chest CT-scan findings, which demonstrated presence of multiple opacities in both lungs in favor of viral pneumonia. Vaginal delivery was performed and an apparently healthy, term and cephalic baby girl was born with an Apgar score of 9 at one minute and 10 at five minutes after birth. The baby was negative for COVID-19 based on the molecular testing. Conclusion: With proper management and timely separation of the mother from the baby and preparing breast milk by a non-infected person, no maternal or neonatal complications were observed in our case. More studies are required to gain a better understating about the possible morbidities and mortalities associated with COVID-19 during pregnanc

Hypertensive Chorioretinopathy in Preeclampsia: A Case Report

Background: Hypertensive disorders of pregnancy are one of the most important and controversial unresolved issues in obstetrics. These disorders are one of the leading causes of maternal morbidity and mortality. Clinical manifestations of severe preeclampsia include severe headache, blurred vision, epigastric pain, hypertension and severe edema. The key to treating preeclampsia and vision disorders is controlling blood pressure, preventing seizures and labor induction. We herein report a case of preeclamspia with hypertensive chorioretinopathy. Case description: A 23-year-old, G2P1L1, 35-week pregnant woman was presented with complaints of headache, dizziness, blurred vision in the left eye, lower extremity edema and less severe generalized edema. The patient was hospitalized with diagnosis of severe preeclampsia after further investigations. Given that the patient was not in the delivery stage, labor induction via cesarean section was carried out. The patient was then hospitalized in the coronary care unit for 24 hours and was later transferred to the gynecology ward. At day four of hospitalization, the patient fully recovered and was discharged. Conclusion: Headaches and vision problems are common complains of most women with severe preeclampsia and eclampsia, which require immediate attention of obstetricians and midwives. It is recommended to immediately refer mothers with severe symptoms to a center equipped with intensive care for proper management of the maternal and fetal complications of preeclampsi

Early Manifestations of Acute Renal Failure in a Pregnant Woman with Diabetes

Background: Diabetes is a major risk factor for acute renal failure, which is commonly seen during pregnancy. Patients with kidney failure are at significant risk for adverse pregnancy outcomes, and pregnancy may accelerate the progression of kidney disease in these patients. We herein report a pregnant woman with early manifestations of kidney failure during pregnancy. Case description: The patient was a 39-year-old G2P1L1 woman with a gestational age of 14 weeks and 4 days who presented with edema and hypoglycemia. The patient had overt pre-orbital edema and less severe generalized edema. Finally, due to the patientchr('39')s conditions based on diabetes mellitus under insulin therapy, edema, proteinuria and high creatinine level (1.5 mg/dl) in the past two weeks, pregnancy was terminated as recommended by the medical commission and after obtaining informed consent from the patient. Conclusion: Diabetes is an important risk factor for acute renal failure. Women with kidney failure are more likely to experience adverse pregnancy outcomes. Diabetic women who consider becoming pregnant should be first evaluated by a gynecologist and nephrologist and receive specialized advice. Given the complexity of care in affected women, a multidisciplinary approach is needed to achieve the best pregnancy outcome

Motherhood in breast cancer survivors: Challenges and opportunitiesties

Reproductive-aged breast cancer (BC) survivors have different ideas regarding the experience of motherhood after cancer treatment. Some BC survivors considered motherhood a miracle of God, an unexpected pleasant event, and an incredible opportunity to return to everyday life before a cancer diagnosis. Against these positive aspects of motherhood, the transition to motherhood responsibilities accompanied by the fear of cancer recurrence and becoming an ill mother are some challenges among survivors. Also, fear of losing the ability to breastfeed due to mastectomy, fear of not devoting enough energy to care for the newborn, and meeting the infant or other child’s needs were the most common challenges of BC survivors after childbirth. Motherhood in BC survivors is associated with negative attitudes and fear toward death and breastfeeding. To increase the happiness and psychological well-being among these women regarding motherhood, considering the multidimensional supportive program and survivorship care after treatment regarding fertility issues lead to converting motherhood as an opportunity and hope for these women after experiencing a complicated treatment process